| NPI | 1073858064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117060) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |